Development, Implementation, and Evaluation of an Early Mobility Protocol in a Regional Level II Trauma Center.
| Autor: | McCarty, Catherine A., Renier, Colleen M., Conway, Pat G., Vogel, Linda, Woehrle, Theo A., Anderson, Leslie A., Hanson, Eric J., Benrud, Lisa M., Gerchman-Smith, Mary |
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| Předmět: |
EVALUATION of human services programs
TRAUMA centers CRITICALLY ill RESEARCH methodology PATIENTS INTERVIEWING FEAR APACHE (Disease classification system) EARLY ambulation (Rehabilitation) MEDICAL protocols DOCUMENTATION SEVERITY of illness index DESCRIPTIVE statistics ACCIDENTAL falls HEALTH care teams COMMUNICATION DATA analysis software HEALTH care rationing PATIENT safety MEDICAL needs assessment |
| Zdroj: | Critical Care Nursing Quarterly; Jan-Mar2022, Vol. 45 Issue 1, p83-87, 5p |
| Abstrakt: | The purpose of this project was to develop and evaluate a collaborative nursing/therapist protocol for early mobility in a medical-surgical intensive care unit (MICU) in a regional level II trauma center. Data for patients in the MICU were compared for the periods August 3, 2015-August 2, 2016, and August 3, 2014-August 2, 2015. Semistructured interviews were conducted with 10 nurses and 1 therapist. Average MICU length of stay decreased from 3.81 to 3.50 days (P = .057). Mean time in mobility chairs did not change (0.12 days vs 0.11 days, P = .389). Mean number of days to first documented level 2-5 activity decreased significantly, from 1.81 to 1.51 days (P = .036). The percentage of hospitalizations with any documented level 3 or 4 activity increased significantly (from 3.8% to 7.4% and from 61.5% to 66.7%, P = .003 and P = .031, respectively). Barriers/challenges to implementation included having enough people to assist, space, documentation, having to coax the physician to place order for upright mobility, availability of therapists for later stages of protocol, patient variability, fear of patient falls, availability of therapy chairs, staff changes, time, and patient refusal. A multidisciplinary approach to protocol development for early mobility in an intensive care unit was successfully implemented at a regional level II trauma center. [ABSTRACT FROM AUTHOR] |
| Databáze: | Supplemental Index |
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